Vol. 18, No. 2 Printed in U.S.A.

INFECTION AND IMMUJNITY, Nov. 1977, p. 531-541 Copyright © 1977 American Society for Microbiology

Toxicity of Low and Moderate Multiplicities of Chlamydia psittaci for Mouse Fibroblasts (L Cells) KEVIN R. KELLOGG, KAREN D. HOROSCHAK, AND JAMES W. MOULDER* Department of Microbiology and the College, University of Chicago, Chicago, Illinois 60637 Received for publication 13 June 1977

When mouse fibroblasts (L cells) were infected in suspension or in monolayer with 10 to 100 50% infectious doses (ID50) of Chlamydia psittaci (6BC) per host cell, they showed signs of damage 24 to 48 h later. Host-cell injuries were termed multiplication dependent when both the ingestion and subsequent reproduction of C. psittaci were required; when only ingestion but not replication was needed, the injuries were considered to be multiplication independent. The time that the injury was first apparent, as well as its final magnitude, was proportional to the multiplicity of infection. When L cells ingested infectious or ultravioletinactivated C. psittaci, damage was manifested by failure to exclude trypan blue, by leakage of lactic dehydrogenase, by inhibition of reproduction as measured by ability to form colonies, by inhibition of protein and deoxyribonucleic acid synthesis, and eventually by cell disintegration. Infectious, but not ultravioletkilled, chlamydiae stimulated host-cell glycolysis. Heat-killed chlamydiae were without measurable toxicity. The time of appearance of host-cell injury was always earlier, and its terminal magnitude always greater, with infectious inocula than with ultraviolet-inactivated ones. The multiplication-independent toxicity of ultraviolet-killed C. psittaci disappeared with inocula of less than 10 ID50 per L cell, but an inoculum of only a single ID50 of infectious chlamydiae per host cell injured most of the cells it infected, as evidenced by increased trypan blue staining and decreased efficiency of colony formation. The toxicity of multiplicities of infection between 10 and 100 ID50 of infectious C. psittaci per host cell was the sum of both multiplication-dependent and -independent components. The effects of chloramphenicol and isoleucine deficiency on the ability of C. psittaci to injure L cells suggested that some synthesis of protein by both parasite and host may be essential for expression of multiplication-independent chlamydial toxicity. The failure of infectious chlamydiae to stimulate host-cell glycolysis in the presence of cycloheximide suggested that this multiplication-dependent consequence of chlamydial infection was also dependent on protein synthesis by the host.

When mouse fibroblasts (L cells) were infected with 200 to 1,000 50% infectious units (ID50) per L cell of Chlamydia psittaci 6BC, they showed many different signs of injury within 1 h and were all dead by 20 h (19). Ingestion of chlamydial cells, but not their subsequent multiplication, was required for production of immediate toxicity, which appeared to result from injury to the plasma membrane of the host cell during its ingestion of C. psittaci. This paper describes the toxicity of lesser multiplicities (1 to 100 ID50 per host cell) of C. psittaci for L cells. Injury of host cells at these multiplicities of infection also depended on ingestion of the chlamydial cells. However, the origins of the host-cell damage were more complex. In proportions that depended on multiplicity of infection and the state of both the host 531

and the parasite, L cells were injured in ways that were both independent of and dependent on multiplication of the ingested C. psittaci. MATERIALS AND METHODS Growth of L cells. The 5b clone (28) of Earle L

cells was grown in suspension and in monolayer as described by Hatch (11). Cultures were kept at 37°C in an atmosphere of 5% C02-95% air in medium 199 (17) containing 0.1% sodium bicarbonate, 200 ug of streptomycin sulfate per ml, and heat-inactivated fetal calf serum, 5% for suspensions and 10% for monolayers. Identical results were obtained in modified Eagle medium with nonessential amino acids (7). Cell densities were measured with a Coulter cell counter model Zb (Coulter Electronics, Hialeah, Fla.). Negative cultures for mycoplasma were obtained by Flow Laboratories (Rockville, Md.) at the beginning and at the end of this work.

532

KELLOGG, HOROSCHAK, AND MOULDER

Growth, titration, and inactivation of C. psittaci. C. psittaci 6BC was propagated in and harvested from L cells as described by Hatch (11). All chlamydial inocula consisted of crude harvests (11). Chlamydial infectivity was titrated by the procedure of Hatch (11), which consists of determining the volume of a chlamydial suspension that will infect half of a precisely enumerated number of L cells. When crude harvests were titrated in terms of both ID5o and plaque-forming units (3), the theoretical ratio of 1 ID50 unit (for a single host cell) for every 0.7 plaque-forming unit was approached closely. Electron microscopic examination of thin sections of pellets of crude harvests by the methods of Friis (9) revealed that about half of the C. psittaci cells were elementary bodies and the rest were reticulate bodies. At the multiplicities employed here, all or nearly all of the infectious elementary bodies had been ingested by L cells after 2 h at 37°C (G. I. Byrne and J. W. Moulder, submitted for publication). Crude harvests were inactivated with heat (3 min at 60°C) and ultraviolet light (1,000 ergs per mm2) by the directions of Byrne (4). They were also inactivated by exposure to 50 mM methylmethane sulfonate for 10 min at 37°C. As used in these studies, all three inactivating agents caused an approximate 1,000-fold drop in the infectivity of C. psittaci for L cells. Multiplicities of infection with inactivated chlamydiae will be expressed in terms of the pre-inactivation titers. Assessment of L-cell damage by C. psittaci. The exclusion of trypan blue (21) was observed by mixing 1 volume of 0.5% trypan blue (NA 0508, Allied Chemical, Morristown, N.J.), dissolved in distilled water and filtered through a 0.45-ttm filter, with 2 volumes of cell suspension and immediately counting the percentage of trypan blue-staining cells in a hemocytometer. At least 200 cells were examined. Protein synthesis in L cells was determined as previously described (19). Synthesis of ribonucleic acid (RNA) and deoxyribonucleic acid (DNA) was measured in a similar way by substituting [14C]uridine and [3H]thymidine for the L-14C-labeled amino acid mixture used after protein synthesis. Isoleucine-depleted medium (11) was used for measuring incorporation of amino acids, but not for incorporation of nucleosides. Glucose utilization was determined according to Sigma Technical Bulletin 635 (Sigma Chemical Co., St. Louis, Mo.) (8); lactate production was determined according to Sigma Technical Bulletin 826-UV (15); and extracellular release of lactic dehydrogenase was determined according to Sigma Technical Bulletin 340-UV (32). The ability of infected L cells to form visible colonies on solid substrates was assayed as follows. An Lcell suspension fed 24 h previously was diluted to a density of 100 cells per ml in growth medium and added to 4 ml of medium in a plastic tissue culture flask (25 cm) previously equilibrated in 5% C02-95% air. After 10 days at 37°C, the L-cell colonies were washed three times with phosphate-buffered saline (6) and stained with Giemsa stain (11). After 10 min, the stain was drained off as completely as possible, and, without further treatment, the colonies were counted in a bacterial colony counter. A suspension of L cells with a count of 100 cells per ml in the

INFECT. IMMUN.

Coulter counter produced 65 to 85 colonies per ml. Basic experimental plan. Most experiments shared a common design. An L-cell suspension fed 24 h previously was centrifuged to sediment the L cells, which were then resuspended to a density of 106 cells per ml in growth medium and dispensed in 25-ml volumes into 50-ml spinner bottles (14, 16) previously equilibrated in 5% C02-95% air. The chlamydial inoculum suspended in phosphate-buffered saline, any other additions also in phosphate-buffered saline, and enough growth medium to bring the culture to a volume of 50 ml and a cell count of 0.5 x 106f per ml were then added. The spinner bottles were incubated at 37°C. Taking 2 h after addition of the C. psittaci inoculum as zero hour (the time needed for attachment and ingestion of the added chlamydiae [4]), samples were withdrawn 24, 48, 72, and sometimes 96 h later to measure the density of the L-cell suspension and its percentage of trypan blue-positive cells, as well as other indicators of L-cell damage or chlamydial multiplication that were desired in any particular experiment. More frequent observations did not add materially to the information obtained. When the inoculum was 50 ID50 of infectious C. psittaci per L cell, hostcell damage was sometimes obvious as early as 18 h

postinfection.

RESULTS The reaction of cultured cells with trypan blue is a long-established (21) and often uncritically accepted criterion of cell viability. "Dead" cells take up trypan blue and are stained; "live" cells exclude the dye and are not stained. It will be shown here that failure of an L cell infected with C. psittaci to exclude trypan blue is a sensitive and convenient indicator of host-cell injury, one that often but not always agrees well with other more laboriously obtained indexes of chlamydial toxicity. Some of the factors that determine how badly L cells are injured by low to moderate multiplicities of C. psittaci will first be illustrated with trypan blue staining as the sole indicator of L-cell damage. Chlamydial toxicity will then be examined further by using a number of other ways of assessing injury to host cells. Failure to exclude trypan blue as an index of host-cell injury. At multiplicities of 10 to 100 ID50 of C. psittaci per L cell, injury to the host cell may be separated into two components, one dependent upon and the other independent of parasite multiplication. This may be done by comparing the effect of infectious chlamydiae with that of chlamydiae that have been made incapable of multiplying without reducing their ingestibility. Although such inactivated chlamydiae were highly injurious to host cells, at any given multiplicity of infection, chlamydiae capable of multiplying after they were ingested were always more toxic than those that were ingested but did not multiply.

VOL. 18, 1977

TOXICITY OF C. PSITTACI FOR L CELLS

533

Figure 1 compares the percentage of trypan 100 blue-positive host cells produced by exposing L cells to infectious and ultraviolet-inactivated C. psittaci, which are phagocytosed at equal rates 060,0 X, (4). At a multiplicity of 10 ID50 per host cell, the inactivated chlamydiae had a substantially 409 smaller effect, but at 80 ID50, they produced almost as many trypan blue-staining L cells as did infectious C. psittaci. Chlamydiae inactivated with methylmethane sulfonate are phag20 / ocytosed at undiminished rates (G. I. Byrne, personal communication), and, at a dosage of 100 ID50 per L cell, they too were toxic (Fig. 2). 0 24 48 72 Ultraviolet light and alkylating agent both made HOURS AFTER INFECTION chlamydiae nonreproductive by inactivating FIG. 2. Trypan blue staining of L cells after expoDNA. It may be that any agent that inactivates without altering cell surfaces will produce toxic sure to infectious, methylmethane sulfonate-inactivated, and heat-killed C. psittaci. See text for procebut nonreproducing chlamydial cells. details. The infecting dose of C. psittaci was The existence of multiplication-dependent dural 100 ID0, per L cell. Symbols: 0, infectious C. psittaci; and -independent toxicity may also be shown 0, methylmethane sulfonate-inactivated C. psittaci; by allowing L cells to ingest infectious chlamy- A, heat-inactivated C. psittaci; and A, chlamydiae diae and shortly thereafter blocking their mul- inactivated first with methylmethane sulfonate and tiplication with chloramphenicol (29). When the then with heat. antibiotic was added to L-cell suspensions 2 h postinfection, chlamydial multiplication was 100 100stopped completely, but as measured by the increase in trypan blue-staining host cells, the multiplication-inhibited chlamydiae were still . 60.6 toxic (Fig. 3). As with ultraviolet-inactivated chlamydiae, the higher the multiplicity, the more apparent the host-cell damage. Rifampin also prevented chlamydial multiplication (29), but not host-cell iniury. Multiplication-dependent chlamydial toxicity was not greatly affected by the multiplicity of infection. Five to 10 ID50 of infectious C. psittaci per L cell generated trypan blue-positive host 0 0 24 48 72 24 46 72 cells almost as fast as 50 to 100 ID50 (Fig. 1 and HOURS AFTER INFECTION 00-

C

_jw 80-

FIG. 3. Trypan blue staining of L cells infected with C. psittaci in the presence and absence of chloramphenicol. Giemsa-stained monolayers were examined to be sure that the antibiotic had inhibited chlamydial reproduction. Symbols: 0, no drug and 0, 100 ,ug of chloramphenicol succinate per ml added 2 h after infection. (A) 5 ID50, of C. psittaci per L cell. (B) 50 ID-0 per host cell.

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FIG. 1. Trypan blue staining of L cells after expoto infectious and ultraviolet-inactivated C. psittaci. The experiment was performed as described in the text. Symbols: 0, infectious C. psittaci and 0, ultraviolet-inactivated C. psittaci. (A) 10 ID50 of C. psittaci per L cell. (B) 80 IDso per L cell. sure

3). Multiplication-independent toxicity disappeared below the level of 5 to 10 ID50, but even 1 and 2 ID50 of infectious C. psittaci per L cell made most of the infected cells become trypan blue-positive within 72 h (Table 1). Ingestion of chlamydial cells was obviously a prerequisite for multiplication-dependent toxicity, but the ingestion requirement for multiplication-independent injury was not self-evident. However, the toxicity of moderate chlamydial multiplicities that is manifested in the absence of parasite multiplication proved to be, like the

KELLOGG, HOROSCHAK, AND MOULDER

534

immediate toxicity of high-multiplicity infection (19), dependent on ingestion of the chlamydial cells. Heat-inactivated C.psittaci, which is phagocytosed very inefficiently by L cells (4), did not cause any increase in the number of trypan blue-positive host cells (Fig. 2). When L cells were infected with 500 to 1,000 ID50 of heatinactivated chlamydiae as in an earlier study (19), they multiplied as if uninfected for many days and then finally succumbed to the progeny of the small number of infectious C. psittaci that survived the heat inactivation. Synthesis of protein by both parasite and host as a possible requirement for expression ofmultiplication-independent toxicity. Although C. psittaci can injure host cells without multiplying, it appears likely that both chlamydiae and host cells must synthesize some protein if this multiplication-independent toxicity is to be expressed. The ability of chloramphenicol-inhibited C. psittaci to make L cells stain with trypan blue was highly dependent on the time the antibiotic was added to infected L cells (Fig. 4). Delaying chloramphenicol addition from 0 h to 2 h after infection greatly increased the toxicity of the multiplication-inhibited chlamydiae, but further delay had little additional effect. These results show that, in the first 2 h after infection, C. psittaci carried out a chloramphenicol-sensitive reaction, probably synthesis of a protein, that TABLE 1. Trypan blue staining of L cells 72 h after infection with 1 and 2 ID50 of C. psittaci per host cella C. pstal C.psittaci inoculated

L cells with inclusions h after infection 24 .>.>.

Trypan blue-positive h after inL cells 72 ftion fection

(ID5,/host cell)

Expected

Found

Expected

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(%) b

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4 0 33 31 50 1 50 74 60 59 2 75 a The experiment was performed as described in the text. " From the ID50 titer of the inoculum, the volume required to infect 50% (1 ID50) and 75% (2 ID50) of the L-cell population was calculated as described by

Hatch (11). ' The expected percentage of trypan blue-positive L cells was calculated on four assumptions. (i) All infected cells would not divide. (ii) All uninfected L cells would divide only once in 72 h when the medium was not changed (11). (iii) All originally infected L cells would be trypan blue-positive at 72 h. (iv) No L cells secondarily infected by the progeny of the first developmental cycle would be trypan blue-positive at 72 h. All assumptions are approximations of more complex realities.

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FIG. 4. Effect of the addition of chloramphenicol at different times after infection with C. psittaci on trypan blue staining of L cells. The experiment was done as described in the text. Symbols: 50 ID50 of C. psittaci per L cell with no added drug (0) and with 100 ug of chloramphenicol succinate added at 0 (A), 2 (a), and 4 (V) h after infection.

was required for production of maximum hostcell damage. Lin (13) observed a comparable effect of the time of chloramphenicol addition on its ability to block the decline in thymidine kinase activity that follows infection of L cells with C. psittaci. L cells in isoleucine-deficient medium 199 normally phagocytosed C. psittaci, but neither host nor parsite multiplied until the isoleucine deficiency was relieved and their rates of protein synthesis returned to normal (11). As judged by trypan blue staining, 10 ID50 of C. psittaci per host cell did not injure L cells in isoleucinedeficent medium (Fig. 5A). When isoleucine was added 24 h after infection, the expected increase in trypan blue-positive cells occurred with a corresponding lag of 24 h. Therefore, even fully infectious chlamydiae did not damage the host cells by which they had been ingested in the absence of an amino acid required by both host and parasite. In two of four experiments with an inoculum of 50 ID50 per host cell, the results were the same as indicated in Fig. 5A. In the other two (Fig. 5B), lack of isoleucine only partially blocked the appearance of trypan bluepositive L cells. We cannot explain why feeding isoleucine 24 h after infection appears to have transiently protected L cells against chlamydial injury. Figure 5C differs from 5B only in that the 50-ID50 inoculum had been inactivated with ultraviolet light. When isoleucine was not limiting, the inactivated chlamydiae produced the expected percentage of cells that stained with trypan blue, but not only did they not injure isoleucine-deficient host cells, they also re-

VOL. 18, 1977

TOXICITY OF C. PSITTACI FOR L CELLS

mained without toxicity after isoleucine was added at 24 h. Therefore, the capacity to cause multiplication-independent damage was lost during a 24-h layover in isoleucine-deficient host cells, and only the multiplication-dependent capacity remained to be activated by addition of the missing amino acid. The experiments with isoleucine-deficient host cells suggest that multiplication-independent chlamydial toxicity was not expressed when neither host nor parasite could synthesize protein. An obvious test of this would be to observe the toxicity of C. psittaci for L cells when protein synthesis by the parasite is blocked by chloramphenicol (29) and that of the host by cycloheximide (1). Unfortunately, this combination of drugs was in itself toxic to L cells, and the experiment could not be done. Cycloheximide alone slowed, but did not in the long run prevent, the appearance of trypan blue-positive L cells in populations infected with 10 ID50 of infectious chlamydiae per host cell (Fig. 6). Thus, the complete suppression of chlamydial toxicity in isoleucine-deficient L cells cannot be attributed to inhibition of protein synthesis by the host alone. It must have also involved interference with chlamydial protein synthesis. Assessment of chlamydial damage to host cells by criteria other than trypan blue exclusion. The C. psittaci-L cell systems used most frequently in these experiments were 10 and 50 ID50 per host cell infection with infectious or ultraviolet-inactivated chlamydiae. Chloramphenicol-inhibited chlamydiae were not suitable for many experiments because the antibiotic interfered with the taking of measurements. _j100

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When the densities of L-cell suspensions were measured with the Coulter counter after infection with C. psittaci, the increases in host-cell numbers were those that would have resulted if every uninfected L cell had divided once in 48 h and about one-third to one-half of the infected cells had also divided once (Table 2). A total of 50 ID50 per host cell inhibited the increase in L cells more than 10 ID5o, and ultraviolet-inactivated C. psittaci blocked host-cell division just as effectively as infectious organisms. Limited division of cells infected with C. psittaci was also observed by Officer and Brown (20). The effect of infection with C. psittaci on the ability of L cells to multiply was also determined 10080 60

0

24

48

FIG. 6. Trypan blue staining of L cells infected with C. psittaci in the presence and absence of cycloheximide. Symbols: 10 ID50 per host cell of C. psittaci without (0) and with (0) 2 pg of cycloheximide per ml added 2 h after infection. Cycloheximide alone did not increase the number of trypan blue-positive L cells. 0-0

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INFECTION

FIG. 5. Trypan blue staining of L cells exposed to infectious and ultraviolet-inactivated C. psittaci in fresh and in isoleucine-depleted growth medium. Experimental details are described in the text. Isoleucinedeficient medium 199 (with 5% heat-inactivated fetal calf serum) was produced by inoculating it with PP' L cells per ml and allowing them to double once in the next 24 h (11). Symbols: 0, fresh medium throughout the experiment; A, isoleucine-deficient medium at all times; a: isoleucine-deficient medium 0 to 24 h after infection, completely replaced at 24 h with fresh medium. (A) 10 ID,, of infectious C. psittaci per L cell. (B) 50 ID50 of infectious chlamydiae per host cell. (C) 50 ID5, of ultraviolet-inactivated C. psittaci per L cell.

536

INFECT. IMMUN.

KELLOGG, HOROSCHAK, AND MOULDER

by diluting out the L-cell suspensions immediately after infection, plating out on a solid substrate at a density of four cells per cm2, and counting the number of L-cell colonies visible 10 days later (Table 3). Inocula of 1 and 2 ID50 per L cell of infectious chlamydiae significantly reduced colony formation, but not as much as predicted by the trypan blue-staining experiment (Table 1), and 10 and 50 ID50 almost completely suppressed it. Heated chlamydiae caused no reduction in colony count. The effect of ultraviolet-inactived C. psittaci on colony formation was dependent on the time the infected cells were diluted out for plating. If the L cells were diluted and plated immediately after infection, ultraviolet-inactivated C. psittaci failed to reduce the number of colonies formed. However, if the L cells infected with the inactivated chlamydiae were held in spinner bottles at a density of 0.5 x 106 cells per ml for 24 h after infection and then diluted and plated, colony formation was inhibited almost as much as if the chlamydiae had been infectious. This curious phenomenon is being studied further. The effect of infection with C. psittaci on the appearance of L cells in monolayer was next determined after it had been established that both infectious and ultraviolet-inactivated chlamydiae produced trypan blue-staining L cells at roughly the same rate in suspension and in monolayer. Figure 7 shows the appearance under phase-contrast microscopy of monolayers 2 and 5 days after infection with 10 and 50 ID50 per host cell of infectious, heated, and ultravioletinactivated C. psittaci. Monolayers of L cells exposed to heated chlamydiae (Fig. 7A to D) were indistinguishable from uninfected ones (not shown). When the inoculum was infectious C. psittaci, the L cells were packed with inclusions at 2 days and were completely destroyed at 5 days (Fig. 7E to H). Monolayers infected with ultraviolet-inactivated chlamydiae showed moderate cytopathic effects at 2 days and consisted

solely of grossly abnormal cells at 5 days (Fig. 7I to L). Normal-appearing cells could not be found, but most of the original L-cell population was still attached to its substrate. Monolayers of L cells exposed to infectious C. psittaci and then treated with chloramphenicol 2 h after infection showed changes very similar to those seen in L cells infected with ultraviolet-inactivated organisms (not shown). In the experiments just described, the extent of the damage done to L cells by different multiplicities of infectious and inactivated C. psittaci roughly correlated with the extent of trypan blue staining under comparable circumstances, although point-for-point comparisons were not possible. However, direct comparisons could be made when the rates of protein, RNA, and DNA synthesis and the percentages of trypan blueTABLE 3. Ability of single L cells to form colonies after exposure to infectious, heat-inactivated, and ultraviolet- inactivated C. psittaci a Inoculum

ID,r,,,/L cell

Inactivating agent

L-cell colonies formed (% of colonies formed by uninfected population)

None 100 None" 96 1 None 70 2 None 54 10 None 4 50 None 1 50 Ultraviolet light 102 Ultraviolet light 50' 6 a The experiment was done as described in the text. h When 100 uninfected L cells were plated out, 70 formed visible colonies in 10 days. ' These L-cell suspensions were held for 24 h after infection (or mock infection) at a density of 0.5 x 10" cells per ml before being plated out at a density of 4 cells per ml. All other suspensions were so diluted at zero hour after infection.

TABLE 2. Increase in cell numbers in suspensions of L cells infected with infectious and ultravioletinactivated C. psittacia Time after infection (h)

Uninfected

Infectious

C. psit-

taci (10 ID,v,/L cell)

0 24 48 72

0.5"1 0.66 ± 0.16 (14)h 0.97 ± 0.29 (14) 0.92 ± 0.28 (12)

0.5 0.60 ± 0.14 (13) 0.83 ± 0.19 (12) -

L cells infected with: Ultraviolet-inacti- Infectious C. psitvated C. psittaci taci (10 ID5,,/L cell) (50 ID,.,/L cell) 0.5 0.5 0.58 ± 0.11 (10) 0.56 ± 0.07 (9) 0.89 ± 0.20 (9) 0.69 ± 0.11 (9) -, 0.84 ± 0.19 (9)

Ultraviolet-inactivated C. psittaci (50 IDI,/L cell) 0.5 0.54 ± 0.11 (14) 0.73 ± 0.15 (14) 0.66 ± 0.18 (12)

The experiment was carried out as described in the text. Zero-hour counts ranging from 0.39 x 10" to 0.52 x 10" L cells per ml were normalized to 0.5 x 10" cells per ml. Subsequent counts were adjusted to the normalized zero-hour value and are given as millions of L cells per ml ± standard error. Number in parentheses represents number of independent L-cell counts. ''-, Cell counts were not made because extensive cell destruction had occurred by this time. h

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Toxicity of low and moderate multiplicities of Chlamydia psittaci for mouse fibroblasts (L cells).

Vol. 18, No. 2 Printed in U.S.A. INFECTION AND IMMUJNITY, Nov. 1977, p. 531-541 Copyright © 1977 American Society for Microbiology Toxicity of Low a...
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